Extension of the spine: It’s valuable. It is harmful.
So what is up with spinal extension?
Both are true: It is good. It’s
is the job of your New Roads chiropractor to help you decide the role of extension in your New Roads
back pain relief plan and New Roads back pain control plan in the future.
Your New Roads chiropractor at New Roads Chiropractic Center is well trained
in the effects – good and bad – of spinal extension and respects its role in spinal
health and motion.
Two of the spine’s most prominent curves –
the cervical and lumbar curves – are lordotic curves meaning they curve inwardly.
Flexion flattens these curves. Extension magnifies them. When a disc herniates
or bulges, it does so into the concavity of the curve and potentially pushes
on the spinal nerves causing pain. Flexion usually
allows the disc bulge to move off of the
nerve. Extension often allows the disc bulge to compress
the nerves more. New Roads Chiropractic Center sets out to help lessen
painful situations like this!
75% of the flexion and extension movement in the low back is
at the L5-S1 level of the lumbar spine. 20% happens at the
L4-L5 level. Therefore, 95% of flexion and extension of the lumbar spine happens
at these two lower disc levels. Here, degenerative disc disease (minor and more
advanced) occurs most. In the cervical spine, C5-C6 is the spinal
level where most of the flexion takes place, and C4-C5 is where
most of the extension occurs. New Roads chiropractic
patients need healthy extension!
New Roads Chiropractic Center respects extension and understands
how it may help and harm. The extensor muscles in the
back weaken and degenerate just like discs do. (1)
Extension helps strengthen these muscles to support the spine. Extension is essential
for this when the spine is healthy enough to do extension. Extension to a painful spine may be
harmful. Why? In the cervical spine, flexion reduced disc
protrusion and enlarges the sagittal diameter of the vertebral
canal while extension made the disc herniation
larger and narrowed the vertebral canal producing
stenosis. (2) In a degenerative lumbar spine with spinal stenosis, flexion widened
the vertebral canal and reduced pain while extension exacerbated
the stenosis and triggered pain. (3) New Roads Chiropractic Center understands
the key to getting the benefits of extension is in recognizing
when to apply extension.
New Roads CHIROPRACTIC USE OF EXTENSION
New Roads chiropractic treatment integrates
extension into the New Roads chiropractic treatment plan for its advantages.
Cox® Technic used with the cervical spine reduced
intradiscal pressures to as low as 502 mmHg (4) and to as low as -192 mmHg in
the lumbar spine. (5) Extension increased pressures in the lumbar
spine to 1250 mmHg (the most the transducer could measure).
(4) Dropping intradiscal pressures and back pain is what
New Roads Chiropractic Center aims to do for its New Roads back pain
CONTACT New Roads Chiropractic Center
Listen to this PODCAST with Dr. David Atiyeh on the Back
Doctor’s Podcast with Dr. Michael Johnson. He shares how he helped
a patient whose back pain continues after multiple back
surgeries with flexion distraction which gives her relief
as the table is flexed not extended.
Schedule your New Roads chiropractic appointment
with New Roads Chiropractic Center today. Let us explore
the role extension might have in your back pain recovery and future
back pain control plan.
"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER
page. Content is reviewed by Dr. James M. Cox I